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PreConception Care 4 Student Version
PreConception Care 4 Student Version
Providing Fetal/Maternal
Health Risk Assessments
Lecture 4
Preconception Planning
Important because:
Offers best protection against low birth-weight &
1st Trimester
Heartburn
Causes: Relaxation of cardiac sphinter, GI
mobility; progesterone & gastric displacement.
Food backs up from stomach into esophagus,
irritates lining; burning.
Interventions: Small, freq. meals; chew slowly;
avoid extra weight gain, avoid tight fitting clothes,
avoid fried & fatty foods; sleep with HOB ^;
Take antacid if all else fails.
Hemorrhoids [varicosities rectal veins]
Causes: Pressure on pelvic veins; in ^ 3rd trimes
Interventions: modified Sims position; stool softeners;
witch hazel/cold compresses.
Constipation
Causes: oral iron supplements; peristalsis;
displacement of bowels by fetus.
Interventions: No mineral oil; interferes with vitamin
metabolism. ^ po fluids; ^ roughage; attempt regular
BMs.
Backache: *R/O UTI 1st
Causes: Posture changes during preg.d/t ^
uterine enlargement
Interventions: Low heels; walk with pelvis
tilted forward; squat when lifting; dont bend.
Firm mattress; heat therapy; Tylenol.
Leg Cramps
Causes:Pressure from enlarging uterus, poor
circulation; fatigue, Ca & Phosphorus
Interventions: dorsiflex affected foot; elevate
legs.
Aluminum hydroxide [Amphogel] binds
phosphorus & reduces it in circulation.
Shortness of Breath : Dyspnea
Causes: pressure of uterus on diaphragm &
compression of lungs; more @ night when flat.
Interventions: 2-3 pillows @ night; sitting upright.
Ankle Edema
Causes: fluid retention & poor venous return from
lower extremities; aggravated by prolonged sitting or
standing & warm weather. Occurs near term.
Interventions: ^ legs, avoid tight fitting pants
CONTROLLABLE RISK FACTORS
Be supportive of partner.